Individual provider Active NPI

Jennifer L. Rice, PA-C

  • Physician Assistant
  • Estero, FL
National Provider Identifier
1841225083
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9105815 Issued in FL
Practice address
23471 Walden Center Dr Ste 300
Estero, FL 34134-5016
Phone
(239) 498-3376
Fax
(239) 498-3379
NPI assigned
Jul 12, 2006
Last updated
Aug 9, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9105815 FL Primary

Addresses

Primary practice location

23471 Walden Center Dr Ste 300
Estero, FL 34134-5016

Mailing address

15051 S. Tamiami Trail
Suite 203
Fort Myers, FL 33908
Phone (239) 437-8810

Other practice location 1

2235 Venetian Ct Ste 1
Naples, FL 34109-8728
Phone (239) 596-9337

Other practice location 2

14440 Metropolis Ave Ste 102
Fort Myers, FL 33912-4364
Phone (239) 590-8894

Other practice location 3

25987 S. Tamiami Trail
Unit 90
Bonita Springs, FL 34134
Phone (239) 444-3201

Other practice location 4

671 Goodlette Rd N Ste 160
Naples, FL 34102-5468
Phone (239) 307-4605

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110309000512 FL Practitioner - Physician Assistant 5991708414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodruff Institute LLCGroup PAC ID 1658351101, 22 clinicians

Practice addresses (Care Compare)

2235 Venetian CT
Suite 1
Naples, FL 34109-8728
Phone 2395969337610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9105815FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Coastal Surgery Center, Inc Past Accepting new patients
Medaisle Express, LLC Past Accepting new patients
Naples Center for Dermatology & Riverchase Dermatology Past Accepting new patients
Alta Health Group LLC PastSince Aug 29, 2018 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18228/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1841225083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15051 S. TAMIAMI TRAIL",
            "address_2": "SUITE 203",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "33908",
            "telephone_number": "239-437-8810",
            "fax_number": "239-313-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23471 WALDEN CENTER DR STE 300",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "341345016",
            "telephone_number": "239-498-3376",
            "fax_number": "239-498-3379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2235 Venetian Ct Ste 1",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341098728",
            "country_code": "US",
            "telephone_number": "239-596-9337",
            "fax_number": "239-596-9466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14440 Metropolis Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339124364",
            "country_code": "US",
            "telephone_number": "239-590-8894",
            "fax_number": "239-590-8895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25987 S. Tamiami Trail",
            "address_2": "Unit 90",
            "address_purpose": "LOCATION",
            "city": "Bonita Springs",
            "state": "FL",
            "postal_code": "34134",
            "country_code": "US",
            "telephone_number": "239-444-3201",
            "fax_number": "239-992-9359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "671 Goodlette Rd N Ste 160",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341025468",
            "country_code": "US",
            "telephone_number": "239-307-4605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICE",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

Verify at the official NPI Registry.